PTOTOtherArchives of rehabilitation research and clinical translation2026

Quantification of Lower Extremity Dressing Movements in Patients With Stroke.

Yuki Kuroda, Naoyuki Motojima, Sano Kouhei and 1 others

PMID 42326580

WHAT IT FOUND

How a stroke patient raises their trousers differs with how much help they need.

Those needing supervision or hands-on help put much less weight through the affected leg and used different trunk and pelvic movement than those who were independent.

Key findings

01Across every phase measured, patients who needed more help put less weight through the affected leg: during the downward reach the affected limb loading ratio was 42.35% in the independent group, 29.75% in the supervision group and 20.39% in the assistance group.

02Patients needing supervision rotated their pelvis further toward the affected side than independent patients during the first lift with the affected side (P=.009) and took longer over the whole task: total manipulation time was 7.92 s for the independent group, 12.07 s for the supervision group and 11.33 s for the assistance group (independent vs supervision P=.003).

03Patients needing hands-on assistance moved their trunk and pelvis less than the supervision group: smaller trunk and pelvic rotation toward the unaffected side during the final lift with the unaffected side (P=.002 and P=.013) and greater pelvic rotation toward the affected side during the final affected-side lift (P=.009).

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The three groups were different before the task started, not just in how much help they needed: the assistance group was further from their stroke (125.15 days against 78.00 days for the supervision group) and scored lower on trunk control and on lower-limb movement. The movement differences may reflect overall stroke severity rather than a dressing-specific problem. The independent and supervision groups were measured over the mean of 3 trials, but the assistance group over 2, which the authors say may have reduced comparability and underestimated variability in that group. Some participants made 3 or more pulls at the garment, and those extra movements were not captured by the analysis intervals used. Only 49 patients were analysed, all from one convalescent ward, and 9 of the 58 recruited were excluded. Lower garment style varies between men and women and between garment types, which may itself change how the movement looks. The hand sometimes knocked the thigh markers during the task, which introduced measurement error and made detailed analysis of the lower limb difficult. Everyone used their unaffected hand, so the findings say nothing about patients who dress with the affected hand.

Declared interests

The text supplied contains no funding statement and no conflict-of-interest declaration. The only declaration it carries is the authors' statement that no generative AI or AI-assisted technology was used in writing or editing the manuscript.

The easy way to misread this

Do not read this as evidence that changing how you handle a patient during dressing will make them independent. The study filmed 49 people once, in the group they were already in, so it shows how movement looked different at each level of help, not what caused that difference. The groups also differed in how long since their stroke and in trunk and leg function before the task began.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →